Question: The nurse is providing care to a patient diagnosed with emphysema. Which clinical manifestation does the nurse correlate with this diagnosis?
Answer Options:
Tachycardia
Barrel chest
Wheezing
Cough
Answer: 2. Barrel chest
Question: Which statements by a 70-year-old patient about elective surgery for repair of an abdominal aortic aneurysm indicate that teaching was effective?
Answer Options:
“My age is really not a consideration at this time.”
“My risk of rupture is greater because my aneurysm is 7 cm wide.”
“I have a greater risk of rupture because I have hypertension.”
“The size of my aneurysm is not a factor.”
“Because my aneurysm is 7 cm, the risk of rupture is greater that the risk of dying during surgery.”
Answer: 2, 3, and 5
Question: Which diagnostic study is the most effective in determining whether a patient has obstructive sleep apnea?
Answer Options:
Computed tomography (CT) of the chest
Bronchoscopy
Arterial blood gas
Polysomnography
Answer: 4. Polysomnography
Question: The provider has ordered methylprednisolone for the patient with congestive heart failure and bronchitis. The patient weighs 135 pounds and the order reads: administer 1 mg per kg up to 70 mg IV push.
Answer Options:
Calculate mL to administer
Answer: 0.5 mL
Question: A patient who suffered a thrombotic stroke has residual left lower extremity motor deficit and dysphagia. The nurse identifies which of the following as the priority nursing diagnosis?
Answer Options:
High Risk for Impaired Skin Integrity
High Risk for Impaired Verbal Communication
High Risk for Aspiration
High Risk for Injury: Falls
Answer: 3. High Risk for Aspiration
Question: The nurse recognizes that which client is at greatest risk for death due to a stroke?
Answer Options:
56 year old African American female
36 year old Caucasian male
62 year old Hispanic female
45 year old Asian male
Answer: 56 year old African American female
Question: The nurse is preparing material about peripheral artery disease (PAD) for a community fair. What should the nurse include about modifiable risk factors for the disease?
Answer Options:
Hypertension
History of chronic obstructive pulmonary disease
Sedentary lifestyle
Smoking
Family history of cardiovascular disease
Answer: 1, 3, and 4
Question: The nurse is monitoring a patient with peripheral arterial disease (PAD). Which clinical manifestations does the nurse correlate to stage IV PAD?
Answer Options:
Tissue that is blackened on the great toe
Muscle pain experienced with exercise
Numbness and tingling of the extremity
Pedal pulses are decreased
Answer: 1. Tissue that is blackened on the great toe
Question: The nurse monitors for which clinical manifestations in the patient with carotid artery disease.
Answer Options:
Difficulty talking
Upper extremity edema
Dizziness
Sudden vision changes
Sudden weakness on one side of the body
Answer: 1, 3, 4, and 5 (Multiple correct answers)
Question: In providing care to a patient with an acute exacerbation of heart failure, the nurse prepares to administer prescribed medication that provide which actions?
Answer Options:
Increase afterload
Increase preload
Decrease preload
Increase contractility
Decrease afterload
Answer: 3, 4, and 5
Question: The nurse is reviewing orders for a newly admitted client with PAD in the right lower extremity. The nurse should follow up with the provider about which order?
Answer Options:
Keep affected extremity elevated
Begin clopidrogrel 75 mg PO daily
Begin lisinopril 10 mg PO daily
Encourage light exercise as tolerated
Answer: Keep affected extremity elevated